Provider Demographics
NPI:1669583001
Name:CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO
Entity type:Organization
Organization Name:CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR, PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:MONSIGNOR MICHAEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:BOLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-655-7700
Mailing Address - Street 1:730 N WABASH AVE
Mailing Address - Street 2:COURTYARD BUILDING
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2514
Mailing Address - Country:US
Mailing Address - Phone:312-573-8005
Mailing Address - Fax:312-573-7719
Practice Address - Street 1:730 N WABASH AVE
Practice Address - Street 2:COURTYARD BUILDING
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2514
Practice Address - Country:US
Practice Address - Phone:312-573-8005
Practice Address - Fax:312-573-7719
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-31
Last Update Date:2023-06-02
Deactivation Date:2023-05-12
Deactivation Code:
Reactivation Date:2023-06-02
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty